Milnerowicz Artur, Milnerowicz Aleksandra, Pawłowskii Stanisław, Skóra Jan, Pupka Artur
Katedra Chirurgii Naczyniowej, Ogólnej i Ttransplantacyjnej, Akademia Medyczna we Wrocławiu.
Polim Med. 2012;42(2):139-42.
One of the most common and serious complications after implantation of aortic or aorto-femoral prosthesis are aortoduodenal fistula. Secondary aorto-duodenal fistula is the most commonly observed form of a fistula between the abdominal aorta and gastrointestinal tract. 76 years old male with infected vascular prosthesis was admitted to Clinic with syndroms of active bleeding from aorto-duodenal fistula. Because of general condition, patient was qualified to endovascular procedure, and a new stentgraft was implanted. After the procedure patient was treated with antibiotic compatible with inoculation from blood and he did not gave agreement for further surgical operations. He lived next 28 months and died because of lung cancer.
主动脉或主动脉-股动脉假体植入术后最常见且严重的并发症之一是主动脉十二指肠瘘。继发性主动脉十二指肠瘘是腹主动脉与胃肠道之间瘘管最常见的表现形式。一名76岁患有感染性血管假体的男性因主动脉十二指肠瘘活动性出血症状入住诊所。鉴于患者的一般状况，决定对其进行血管内手术，并植入了一个新的覆膜支架。术后，患者接受了与血培养结果相符的抗生素治疗，且不同意进一步的外科手术。他此后又存活了28个月，最终因肺癌去世。
